Surgeon-Led Specialist Clinic

Led by plastic surgeon Dr. Ayad Harb, we pride ourselves on the standard of care, quality and safety of our treatments.

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SRGN has three state of the art clinic locations in Central London, Bicester & Ascot.

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Brow Heaviness and Asymmetry

Medically Reviewed April 2023, by Dr. Ayad Harb, one of the world's leading plastic surgeons

About Brow Heaviness and Asymmetry

Brow heaviness and asymmetry, prevalent and yet often under-discussed, can change the course of one's appearance. A person with a pronounced brow may convey unintended emotions, seeming older, wearier, or even perpetually perturbed. This incongruence between outward appearance and inner feelings can, at times, lead to feelings of discomfort and self-consciousness. Thus, understanding these conditions is essential, both for those experiencing them and the professionals offering solutions.

The significance of the brow, a seemingly simple region of our face, is immense. Positioned above our eyes, the brow acts as a facial sentinel, guarding and framing the windows to our soul. It's intricately involved in our most subtle and overt expressions. A raised brow can hint at surprise, while a furrowed one can imply deep concentration or concern. Hence, when the brow is heavy or misaligned, it can overshadow these sentiments, masking true emotions and creating possible misinterpretations.

But what causes this heaviness or asymmetry? Ageing is a predominant factor. As the years go by, our skin's inherent elasticity diminishes, leading to a gradual sagging of the facial features. In the context of the brow, this ageing process can lead to the soft tissues of the forehead slowly descending. A once-raised brow might begin to droop closer to the eyelids, casting a shadow over the eyes and giving a tired appearance.

Yet, age is not the sole contributor. Genetics can be an accomplice too. Some of us are naturally endowed with a heavier brow, while others might experience the onset of brow-related issues earlier due to hereditary predispositions.

Facial muscle activity further complicates the situation. Consider the number of times you've frowned in deep thought or squinted against bright light. Over time, these repeated motions can lead the muscles between and around the brows to contract more often, resulting in the brow being pulled inwards and downwards. Not only does this contribute to brow heaviness, but it can also lead to the manifestation of deep vertical creases between the brows, those familiar lines that often draw concern.

When discussing brow asymmetry, it's worth noting that perfect symmetry is rare. Everyone's face has slight variations from one side to the other. However, pronounced discrepancies in brow height or form can arise from factors such as uneven bone structures, muscle strength variances, or past trauma. At times, conditions like Bell's Palsy, which causes temporary facial paralysis, can lead to marked differences between the two brows.

Furthermore, while many might think of brow heaviness and asymmetry as purely cosmetic issues, they carry functional implications. For those with severe brow sagging, their peripheral vision can be compromised, making daily activities, such as reading or driving, a challenge.

On the psychological front, the implications are manifold. Our face is often our first mode of non-verbal communication. If one's brows do not accurately reflect their internal state, it can result in lowered self-confidence. This disparity between perception and reality is a compelling reason many individuals seek expert consultation, aiming to regain harmony and align their external appearance with their inner feelings.

Brow heaviness and asymmetry are complex issues, deeply interwoven with our self-perception and how we present ourselves to the world. The interplay of genetics, ageing, muscle activity, and even unforeseen events like trauma make each case unique. Thankfully, advancements in medical science offer a plethora of solutions, paving the way to restored confidence and facial balance.


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Types of Brow Heaviness and Asymmetry

Static Brow Heaviness

In the myriad forms of facial structures, one unique presentation is Static Brow Heaviness. It's like nature's imprint, ingrained into an individual's features, right from their early years. This specific brow type is not the result of life's inevitable ageing or repeated facial expressions; it is primarily the product of one's genetic makeup.

Delving deeper, the pronounced brow ridge might be seen as an evolutionary shield, offering ancient humans added protection for their eyes. However, in our contemporary world, beauty ideals and aesthetics have evolved, placing emphasis on softer and more balanced features. The pronounced, static brow, in this modern context, can sometimes seem incongruous with current aesthetic preferences. For many, the dominant brow might feel like a mask that veils their true feelings, often lending a more intense or serious aura than they might genuinely feel.

There's also the aspect of facial harmony. A naturally heavy brow, in some cases, might feel out of sync with other facial features. This might create a desire in some individuals to seek aesthetic solutions, aiming for a face where each feature complements the other, forming a cohesive portrait of beauty.

Dynamic Brow Heaviness

Life is a dance of emotions, and our face, especially the brow, captures every beat. Over the years, repeated facial movements give rise to what experts term Dynamic Brow Heaviness. In essence, this form of brow heaviness is a narrative of one's life, chronicling every laugh, frown, and moment of surprise.

Facial muscles, when repeatedly engaged, can enlarge or become hypertrophic. This increased muscle mass, especially in the forehead region, can tug the brow downward. The culmination of years of expressive living can mean that the brow starts to sit closer to the eyes, giving off a perennial aura of weariness or deep thought. Furthermore, as these muscles assert their presence, they can etch deep lines between the brows, creating creases that narrate the passage of time.

Age-related Brow Heaviness

Ageing is nature's artist, painting tales of experience and wisdom onto our features. One such canvas is the brow, which, over time, might exhibit Age-related Brow Heaviness. With each passing year, our skin relinquishes a bit of its youthful resilience, yielding to gravity's insistent pull.

For the brow, this transformation can be especially evident. The underlying ligaments, once taut and supportive, begin to wane in strength. The once-elevated brow now sags, often most discernibly at the outer edges near the temples. This drooping appearance can cast a semblance of perpetual fatigue or melancholy, regardless of one's inner state of being. As the arch of youth dissipates, many seek consultations, eager to rediscover their brow's bygone elevation.

Asymmetric Brow Height & Shape

Perfect symmetry is an elusive ideal. Most faces exhibit some level of asymmetry, and the brows are no exception. Asymmetric Brow Height & Shape can be either subtle or pronounced, where one brow might be higher or more arched than its counterpart.

The genesis of such asymmetry can be multifaceted. Some individuals inherit it, with the asymmetry evident since birth due to bone structures. Others might acquire it over time due to various factors like disparate muscle strengths, injuries, or medical conditions like Bell's Palsy that influence facial nerve function. Regardless of the cause, a noticeably uneven brow can lend an appearance of constant inquisitiveness or astonishment. This divergence from the face's symmetry can be a focal point for those on a quest to attain a harmonious facial appearance.

Brow Heaviness and Asymmetry Treatments


In the realm of cosmetic procedures, Botulinum toxin, widely recognized as Botox, has transformed how we approach non-surgical facial rejuvenation. Its mechanism of action is intriguing; Botox temporarily obstructs the nerve signals directed towards specific muscles. When these signals are interrupted, the targeted muscles relax, diminishing the appearance of wrinkles and elevating sagging regions.

Especially for brow heaviness and asymmetry, Botox's magic lies in its precision. Expert practitioners can meticulously inject Botox into the forehead and the areas surrounding the brow. This targeted approach ensures the brow elevates subtly, resulting in a rejuvenated and youthful visage. The beauty of this treatment is not just in its outcomes but also in its procedure. It's minimally invasive, causing little to no discomfort for most individuals. Moreover, the dreaded 'frozen' look is a thing of the past when the treatment is administered by seasoned professionals, ensuring results are seamless and natural.

While the transformative effects of Botox are indeed commendable, it's crucial to understand its temporal nature. The results of Botox typically span between three to six months. This duration means that those opting for this treatment will need to revisit their practitioner for periodic touch-ups. Nevertheless, the ease and efficiency of the procedure, combined with its dramatic results, make it a favourite among those looking for quick facial enhancements.


Accutite stands as a beacon of innovation in the world of minimally invasive facial contouring. Delving into its workings, Accutite leverages the prowess of radiofrequency energy, focusing it to tighten both the skin and the underlying tissues. It's this dual-action capability that has placed Accutite in the spotlight.

When addressing brow concerns like heaviness and asymmetry, Accutite goes beyond mere surface treatment. It dives deeper, targeting sagging skin and stimulating the natural production of collagen, the protein responsible for skin's elasticity and firmness. This rejuvenation process ensures that while the brow is lifted, the skin also regains some of its lost vitality and youthfulness.

What makes Accutite even more appealing to many is its minimally invasive nature. Unlike more extensive surgical interventions, Accutite boasts reduced recovery times. Patients can often return to their daily routines shortly after treatment, making it an ideal choice for those seeking impactful results without significant downtime. The allure of Accutite lies in its promise: subtle, long-lasting enhancements that echo the rhythms of natural beauty.

Brow Lift

When non-invasive treatments don't suffice, or when individuals seek a more enduring solution, the surgical brow lift emerges as the gold standard. Also known as a forehead lift, this procedure is a testament to the advances in cosmetic surgery, offering a comprehensive approach to rejuvenating the upper face.

The procedure begins with strategic incisions, typically made along the hairline or concealed within the scalp. Through these incisions, the surgeon accesses the tissues of the forehead, meticulously adjusting and tightening as required. As the skin is repositioned, the brows naturally elevate, casting away the shadows of heaviness and asymmetry.

But the brow lift doesn't stop at merely lifting the brow. It offers a multifaceted rejuvenation, smoothing out persistent forehead wrinkles and deep-set frown lines. This all-encompassing transformation ensures that while the brows are elevated, the surrounding features are harmonised, radiating a refreshed and youthful aura.

While it's undeniable that a brow lift demands more recovery time than its non-surgical counterparts, its results are formidable. Not only are they long-lasting, often enduring for several years, but they also bear the hallmark of subtlety. When executed by a skilled surgeon, a brow lift ensures that while the face is transformed, the individual's intrinsic character remains untouched and celebrated.

About Our Clinic

Located in the heart of Ascot, Bicester, and London, the SRGN Clinic exemplifies afusion of cutting-edge science, unparalleled skill, and an unwavering commitment to patient care. The clinic stands as a beacon of excellence in thefield of aesthetic and plastic surgery.

Leading the team at SRGN is Dr. Ayad Harb, a renowned plastic surgeon and aesthetic trainer. His expertise, honed by years of experience and a genuine passion for improving lives, defines the very core of the clinic's ethos. Dr. Harb's innovative techniques, combined with an artistic eye for detail, enable him to deliver consistently exceptional results that are tailored to each patient's individual needs and desires.

At SRGN, we believe in the transformative power of aesthetic and plastic surgery. Our treatments, ranging from non-invasive procedures to complex surgical interventions, are designed to enhance and accentuate your natural beauty. We strive to provide a safe, comfortable, and confidential environment where you can discuss your aesthetic goals openly, and together we create a treatment plan that brings these goals to life.

Every member of the SRGN team shares a deep commitment to patient care. We prioritise your comfort, safety, and satisfaction from the moment you step into our clinic. Each of our facilities mirrors the luxury and tranquility of their surroundings, offering a serene space where you can embark on your journey to self-improvement.

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